The development of quality human resources for health is an essential pillar of an effective health system. The objective of this study was to describe the implementation process and the results of an eLearning approach for capacity strengthening of health professionals in Guinea.
A descriptive cross-sectional study using a mixed research method was conducted from January 15, 2018 to January15, 2019.
A team from the National Training and Research Centre in Rural Health of Maferinyah in Guinea has been trained in the development of online courses. Two courses lasting three months each (7 to 8 modules), entirely offered online on the Moodle platform, have been developed, one on Primary Health Care (eSSP) and the other on the Management of Sexual and Reproductive Health Services (eSSR). Overall, 282 health professionals have been enrolled for both courses, with a completion rate of 69.5%. The success rate for learners who completed the courses was 79.6% and the success rate for enrollees was 55.3%. The dropout and abstention rates were 21.6% and 8.9%, respectively. The strengths, weaknesses and challenges of the organization and thesuccess of such a training were reported.
The eLearning approach for capacity strengthening of health professionals is feasible and gives good findings in low-income contexts like that of Guinea.
The eLearning approach for capacity strengthening of health professionals is feasible and gives good findings in low-income contexts like that of Guinea.On a global scale, bringing together schools and public child psychiatry services is favored to promote the development of early interventions that could improve health trajectories, from prevention to treatment, for children exposed to psychological and psychiatric difficulties. In a public health perspective, contextualizing these practices is essential in order to ensure their sustainability and efficiency. This article sheds light on the stakes of these partnerships and their advantages in responding to the health, social, and economic mark that has been left behind by thecrisis accompanying the brutal onset of the Covid-19 epidemic.
Improving the health care management for children with mental health problems or problems of a psychological nature implies taking into account their environment beyond thetherapeutic framework. Interventional research, currently underway, is taking place in several sites in France primary schools, Medical-psychological centers (CMP), and Local Committees on Mental Healthhildren as possible.Patents have been thought of as an incentive model for research, conferring temporary monopolies to take advantage of an invention. In the pharmaceutical market, unmerited patents are granted, allowing firms to benefit from illegitimate monopolies and demand high prices. These abuses are at the expense of access to care and the financial sustainability of health care systems.These abuses have been demonstrated on treatments for HIV and hepatitis, and are also practiced on anti-cancer treatments such as CAR-T therapies (Chimeric Antigen Receptor T-Cell), whose particularly high prices are a challenge for health systems.Purpose of research Médecins du Monde and Public Eye, two NGOs advocating on price and access to treatment, wanted to question the patentability of CAR-T treatments as well as tostrengthen the capacity of health systems to negotiate fairer prices. These organizations filed a patent opposition against one of these treatments, Kymriah® (tisagenlecleucel).
Through this initiative, these organizations alerted public opinion and policy makers on the high prices of CAR-T treatments. The opposition forced Novartis and the University of Pennsylvania to request the revocation of the patent. This action suggests that the patent was granted when it failed to meet the patentability criteria.
The treatment is still covered by other patents, this opposition does not end the monopoly. Nevertheless, it weakens the intellectual property on this drug and strengthens the States during price negotiations.
The treatment is still covered by other patents, this opposition does not end the monopoly. Nevertheless, it weakens the intellectual property on this drug and strengthens the States during price negotiations.Hospitals in Sub-Saharan Africa face many challenges. Burkina Faso has experimented a private operating system in a public hospital, in order to improve its performance.
To assess the Tengandogo Teaching Hospital's (TTH's) performance in Ouagadougou. Burkina Faso.
We carried out a mixed-method cross-sectional study. We collected data in April 2017 using document review and quantitative data (key performance indicators), individual interviews with key informants. The analytical framework covered services continuity, health department efficiency and staff working environment safety.
Our study findings indicated that the performance of TTH hospital is hampered by frequent shortages in medicine and medical consumables, deteriorating facilities, poor coordination of care and lack of data on patients and staff security.
Private management of public hospitals is not sufficient to improve the performance of hospitals in Burkina Faso. More attention should be paid to improving supply management of medicine, consumables and ensuring a safe work environment for health workers.
Private management of public hospitals is not sufficient to improve the performance of hospitals in Burkina Faso. More attention should be paid to improving supply management of medicine, consumables and ensuring a safe work environment for health workers.The installation of young general practitioners is determined by several factors, including their professional project. In 2012, a quantitative observational study examined the professional projects of general medicine residents in Angers. In 2019, the objective of this study was to highlight a continuity between professional projects and current exercise.
Quantitative declarative study by online form carried out from May to July2019, about socio-demographic data, current exercise, and factors of evolution of the professional projects. The inclusion criteria were to have responded to the 2012 study and to have agreed to be contacted (N=167). https://www.selleckchem.com/products/rk-33.html Construction of a change indicator (ISPP) based on a comparison of the mode of practice, the structure of practice and the type of patient envisaged, envisaged in 2012 and actual in 2019.
The response rate was 76.6%. 48.4% worked exclusively in liberal practice, 31.3% were salaried, 11.7% had a mixed exercise. The professional plan envisaged during the internship (ISPP) was followed completely by 67.